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Testicular torsion

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https://www.readbyqxmd.com/read/29138449/haemodynamic-recovery-properties-of-the-torsioned-testicular-artery-lumen
#1
Selda Goktas, Ozlem Yalcin, Erhan Ermek, Senol Piskin, Can T Capraz, Yusuf O Cakmak, Kerem Pekkan
Testicular artery torsion (twisting) is one such severe vascular condition that leads spermatic cord injury. In this study, we investigate the recovery response of a torsioned ram testicular artery in an isolated organ-culture flow loop with clinically relevant twisting modes (90°, 180°, 270° and 360° angles). Quantitative optical coherence tomography technique was employed to track changes in the lumen diameter, wall thickness and the three-dimensional shape of the vessel in the physiological pressure range (10-50 mmHg)...
November 14, 2017: Scientific Reports
https://www.readbyqxmd.com/read/29121037/transient-testicular-torsion-from-early-diagnosis-to-appropriate-therapeutic-intervention-a-prospective-clinical-study
#2
Dimitrios Patoulias, Konstantinos Farmakis, Maria Kalogirou, Ioannis Patoulias
Transient testicular torsion (TTT) occurs when the torsion of the spermatic cord is reversed automatically within few minutes, with subsequent restoration of the blood ow to the suffering testis. e main clinical manifestation is acute scrotal pain, which resolves within a short period of time, usually few minutes. In 25% of patients su er from nausea and vomiting, besides the scrotal discomfort. Episodes of torsion can be repeated 1-30 times, leading progressively to development of ischemic trauma of the testis, while in 30-61% of all cases they constitute a precursor of testicular torsion...
2017: Folia Medica Cracoviensia
https://www.readbyqxmd.com/read/29094225/effect-of-zinc-and-melatonin-on-oxidative-stress-and-serum-inhibin-b-levels-in-a-rat-testicular-torsion-detorsion-model
#3
Atilla Semercioz, Abdulkerim Kasim Baltaci, Rasim Mogulkoc, Mustafa Cihat Avunduk
The present study was aimed to examine the effects of 3-week zinc and melatonin administration on testicular tissue injury and serum Inhibin-B levels caused by unilateral testicular torsion-detorsion in rats. The study was performed on 60 Wistar Albino-type adult male rats. The animals were allocated to 6 groups in equal numbers. 1. Control; 2. Sham; 3. Ischemia-reperfusion; 4. Zinc + ischemia-reperfusion; 5. Melatonin + ischemia-reperfusion; 6. Zinc + melatonin + ischemia-reperfusion. Zinc and melatonin were administered before ischemia-reperfusion at doses of 5 and 3 mg/kg respectively, by intraperitoneal route for a period of 3 weeks...
December 2017: Biochemical Genetics
https://www.readbyqxmd.com/read/29081888/probucol-reduces-testicular-torsion-detorsion-induced-ischemia-reperfusion-injury-in-rats
#4
Si-Ming Wei, Yu-Min Huang, Jian Zhou
This study investigated the effect of probucol, a potent antioxidant, on testicular torsion/detorsion-induced ischemia/reperfusion injury attributable to excess reactive oxygen species released by neutrophils. Sixty male Sprague-Dawley rats were randomly divided into sham-operated control, ischemia-reperfusion, and probucol-treated groups. In the ischemia-reperfusion group, testicular detorsion was performed after 2 hours of left testicular torsion. In the probucol-treated group, after performing the same surgical procedures as in the ischemia-reperfusion group, probucol was given intraperitoneally at testicular detorsion...
2017: Oxidative Medicine and Cellular Longevity
https://www.readbyqxmd.com/read/29034179/case-of-an-airsoft-pellet-induced-epididymal-laceration-and-secondary-testicular-torsion-with-the-loss-of-affected-testis
#5
Asadullah Aslam, Nadeem Nusrat, Syed Jaffry
No abstract text is available yet for this article.
January 2018: Urology Case Reports
https://www.readbyqxmd.com/read/29032240/natural-history-and-conservative-treatment-outcomes-for-hydroceles-a-retrospective-review-of-one-center-s-experience
#6
Tuğba Acer-Demir, Berk Yasin Ekenci, Doğancan Özer, Mehmet Ali Turanoğlu, Kadem Cem Haberal, Elif Bengisu Bilgin, Akgün Hiçsönmez
OBJECTIVES: To elucidate epidemiological data and hydrocele progression, we reviewed pediatric patients diagnosed with hydroceles in our institution retrospectively. METHODS: We reviewed data from 355 pediatric patients with hydroceles. Questionnaires regarding age at diagnosis, time of delivery, presence of hydroceles in the father and brothers, age at recovery, age at surgery, cause of hydrocele (if present), type of hydrocele, associated pathologies, treatments, and post-hydrocelectomy complications were completed by reviewing patients' medical records and interviewing their families...
October 12, 2017: Urology
https://www.readbyqxmd.com/read/28990672/microdissection-testicular-sperm-extraction-in-finland-results-of-the-first-100-patients
#7
Rauni Klami, Harri Mankonen, Antti Perheentupa
INTRODUCTION: Testicular microdissection sperm extraction (MD-TESE) combined with intracytoplasmic sperm injection (ICSI) has made biological fatherhood possible for many men with the most severe form of male infertility, non-obstructive azoospermia. MD-TESE was introduced in Turku in 2008, and by 2015, 100 Finnish men with non-obstructive azoospermia have been operated on. MATERIAL AND METHODS: The average age was 33 years at the time of surgery. Forty-eight had a needle biopsy previously, 56% had testicular size less than 15ml...
October 9, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/28969409/a-case-of-seminoma-presented-with-clinical-manifestations-of-testicular-torsion
#8
Aytac Sahin, Caglar Yildirim, Serkan Akan, Ozgur Haki Yuksel, Ahmet Urkmez
Testicular tumors rarely manifest themselves with clinical picture of testicular torsion. In this presentation of ours, we reported a 30-year-old patient whose post-orchiectomy histopathology report revealed the presence of seminoma. The patient consulted us with acute scrotum whose physical examination and Doppler ultrasonographic findings showed testicular torsion. Though rarely seen patients, in cases who consulted with acute scrotum, the possibility of testicular tumor should not be discarded. For the establishment of differential diagnosis detailed anamnesis and physical examination findings should be supported with laboratory tests and imaging modalities...
October 3, 2017: Archivio Italiano di Urologia, Andrologia
https://www.readbyqxmd.com/read/28964401/featuring-indicators-and-outcomes-of-transfer-to-tertiary-pediatric-hospitals-for-patients-with-testicular-torsion
#9
EDITORIAL
Christopher E Bayne, Diana Cardona-Grau, Michael H Hsieh
No abstract text is available yet for this article.
August 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28953100/a-systematic-review-of-testicle-survival-time-after-a-torsion-event
#10
Larry Bruce Mellick, James E Sinex, Robert W Gibson, Kim Mears
BACKGROUND: The time window for possible salvage and survival of a torsed testicle is commonly thought to be 6 to 8 hours. However, survival of torsed testicles with or without subsequent atrophy is known to occur outside that critical time window. In this article, we performed a systematic review of the English literature to provide a more accurate understanding of reported time frames of testicle survival after a torsion event. OBJECTIVES: The primary research question was to determine the relationship between time to treatment and the rate of survival for testicles of male patients presenting with testicular torsion (TT)...
September 25, 2017: Pediatric Emergency Care
https://www.readbyqxmd.com/read/28932692/patient-with-antiphospholipid-syndrome-presenting-with-testicular-torsion-like-symptoms
#11
Arnav Srivastava, Joan Ko, Joy Ogunsile, Alison Moliterno, William H Westra, Alice Semerjian
Testicular torsion, a urological emergency, occurs due to absence of testicular blood supply secondary to a mechanical twist of the spermatic cord. The authors describe a 28-year-old male who presented with torsion symptoms, first in the left testicle and four months later in the right testicle. Doppler ultrasound and surgical exploration revealed disruption of blood flow but no evidence of spermatic cord twisting. Additionally, physical examination findings at the time of presentation were inconsistent with testicular torsion...
November 2017: Urology Case Reports
https://www.readbyqxmd.com/read/28932616/the-monitoring-of-preoperative-external-detorsion-with-diffusion-weighted-imaging-in-a-patient-with-acute-testicular-torsion
#12
Mehmet Beyazal, Fatma Beyazal Çeliker, Mehmet Fatih İnecikli, Maksude Esra Kadioğlu, Hasan Rıza Aydın, Tuğba Durakoğlugil
Testicular torsion is one of the main causes of acute scrotum and may result in permanent damage of the testicular tissue. Color Doppler imaging has been frequently used in the diagnosis of testicular torsion and posttreatment follow-up period of the disease. There are some studies reporting the value and usefulness of diffusion-weighted imaging in the diagnosis of testicular torsion. However, to the best of our knowledge, there is no report regarding the monitoring of preoperative external detorsion in testicular torsion with diffusion-weighted imaging examination...
2017: Case Reports in Radiology
https://www.readbyqxmd.com/read/28926509/testicular-torsion-pain-honeymoons
#13
Larry Bruce Mellick, James Sinex
A subset of testicular torsion patients report resolution of their initial severe pain that is followed by variable periods of hours to days of reduced or absent pain. Other patients report only mild pain that is described as gradual in onset. Because of delayed initial presentations or less than timely returns for secondary evaluation, these pain honeymoons may be partially responsible for poor clinical outcomes of the torsed spermatic cords and ischemic testicles.
September 18, 2017: Pediatric Emergency Care
https://www.readbyqxmd.com/read/28920055/distinguishing-testicular-torsion-from-torsion-of-the-appendix-testis-by-clinical-features-and-signs-in-patients-with-acute-scrotum
#14
Naoyuki Fujita, Mitsuhiro Tambo, Takatsugu Okegawa, Eiji Higashihara, Kikuo Nutahara
PURPOSE: Many physicians encounter confusion and difficulty in distinguishing testicular torsion (TT) from torsion of the appendix testis (TAT) in patients with acute scrotum because of the overlapping signs and symptoms. The objective of our study was to evaluate the clinical features and signs that can help distinguish TT from TAT. PATIENTS AND METHODS: We performed a retrospective study of patients with surgically confirmed TT and TAT at our institute from January 1990 to December 2013...
2017: Research and Reports in Urology
https://www.readbyqxmd.com/read/28915866/should-manual-detorsion-be-a-routine-part-of-treatment-in-testicular-torsion
#15
Arif Demirbas, Demirhan Orsan Demir, Erim Ersoy, Mucahit Kabar, Serkan Ozcan, Mehmet Ali Karagoz, Ozgecan Demirbas, Omer Gokhan Doluoglu
BACKGROUND: It was aimed to investigate the efficiency and reliability of the manual detorsion (MD) procedure in patients diagnosed with testicular torsion (TT). METHODS: A retrospective analysis was made of the data of 57 patients diagnosed with TT, comprising 20 patients with successful MD (Group I), 28 patients who underwent emergency orchiopexy (Group II), and 9 patients applied with orchiectomy (Group III). The groups were compared in respect of age, and duration of pain...
September 15, 2017: BMC Urology
https://www.readbyqxmd.com/read/28900528/neonatal-adrenal-hemorrhage-presenting-as-acute-scrotum-looking-beyond-the-obvious-a-sonographic-insight
#16
Shuchi Bhatt, Mohammad Ahmad, Prerna Batra, Anupama Tandon, Satarupa Roy, Samrat Mandal
Acute swelling and discoloration of scrotum in new born can have many localized causes like testicular torsion, inguinal hernia, scrotal or testicular edema, hydrocele, or even remote causes like adrenal hemorrhage. We report a neonate of adrenal hemorrhage presenting clinically as acute scrotum misguiding the clinician to rule out a local scrotal pathology. As the local clinical examination is not reliable in a newborn, it definitely requires an imaging evaluation to establish the diagnosis. This case report emphasizes being aware of the clinical association of acute adrenal hemorrhage and an acute scrotum and the role of ultrasonography in the evaluation of the various differential diagnoses leading to an acute scrotum...
September 2017: Journal of Ultrasound
https://www.readbyqxmd.com/read/28885957/blunt-scrotal-trauma-in-soldiers-epidemiology-and-outcome
#17
Misgav Rottenstreich, Ofer N Gofrit
INTRODUCTION: Blunt scrotal trauma (BST) is common among soldiers but its incidence and outcome are unknown. The purpose of this study was to estimate the incidence, clinical findings, and outcome of BST in soldiers referred to a primary care field physician. MATERIALS AND METHODS: The medical records of soldiers in their military services who sustained BST and were evaluated by primary care field doctors over a 10-year period were reviewed. Anamnestic data, physical findings, primary care physician decisions, hospitalization, and surgery rates as well as final outcomes were analyzed...
September 2017: Military Medicine
https://www.readbyqxmd.com/read/28883750/effect-of-etoricoxib-on-experimental-oxidative-testicular-ischemia-reperfusion-damage-in-rats-induced-with-torsion-detorsion
#18
Turgut Yapanoglu, Fatih Ozkaya, Ali Haydar Yilmaz, Renad Mammadov, Ferda Keskin Cimen, Erkan Hirik, Durdu Altuner
Etoricoxib features antioxidant and anti-inflammatory properties concomitantly, suggesting that it may be beneficial in testicular ischemia reperfusion (I/R) damage. Our aim is to investigate the effects of etoricoxib on testicular I/R damage induced with torsion-detorsion (TD). The etoricoxib + torsion-detorsion (ETD) groups of animals were given etoricoxib in 50 and 100 mg/kg of body weight (ETD-50 and ETD-100), while the testes torsion-detorsion (TTD) and sham operation rat group (SOG) animals were given single oral doses of distilled water as a solvent...
September 2017: Korean Journal of Physiology & Pharmacology
https://www.readbyqxmd.com/read/28865524/ultrasound-emergencies-of-the-male-pelvis
#19
Kimberly Weatherspoon, Stanley Polansky, Tara Catanzano
Male pelvic emergencies are uncommon, and symptoms typically include scrotal pain, scrotal enlargement, or a palpable scrotal mass or all of these. Ultrasound is often the first-line modality for evaluation of male pelvic emergencies, which may be stratified into vascular, infectious, or traumatic causes. Entities such as testicular torsion, Fournier gangrene, and testicular dislocation are surgical emergencies and should not be missed or misdiagnosed, as this may cause a significant delay in urgently necessary treatment...
August 2017: Seminars in Ultrasound, CT, and MR
https://www.readbyqxmd.com/read/28856333/acute-global-testicular-infarction-post-evar-from-cholesterol-embolisation-can-be-mistaken-for-torsion
#20
T Pathmarajah, M Abdelhamid, A S Tenna, D J W Paton, J A Hockley, S Jansen
INTRODUCTION: Endovascular aneurysm repair (EVAR) is the most commonly used approach for treatment of abdominal aortic aneurysms (AAA). Testicular infarction is a rare complication of EVAR. A novel case of acute global testicular infarction post-EVAR from cholesterol embolisation mimicking torsion is presented. REPORT: A 75 year old man developed acute right testicular ischaemia requiring orchidectomy following EVAR of an infrarenal aortic aneurysm. The patient was initially diagnosed with testicular torsion as the aetiology of the infarction; however, on re-analysis of histopathology it was found to be secondary to cholesterol emboli...
2017: EJVES Short Rep
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